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蛛网膜下腔积气和积脓：一种继发于脊髓硬膜外麻醉的罕见影像学表现。

Pneumocephalus and empyema in the subarachnoid space: An unusual imaging feature secondary to spinal-epidural anesthesia.

作者信息

Liu Yan, Li Zhen, Li Guohui, Tan Xiaoping

机构信息

Department of Neurology, Shengjing Hospital of China Medical University, Shenyang, China.

Department of Neurology, Yan'an People's Hospital, Yan'an, China.

出版信息

Heliyon. 2024 Feb 10;10(4):e26029. doi: 10.1016/j.heliyon.2024.e26029. eCollection 2024 Feb 29.

DOI:10.1016/j.heliyon.2024.e26029
PMID:38404829
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10884425/
Abstract

Pneumocephalus and empyema in the subarachnoid space secondary to spinal-epidural anesthesia are very rare and have not previously been reported, to our knowledge. Here, we describe the imaging features of an older woman presenting with pneumocephalus plus subarachnoid and intraventricular empyema due to Staphylococcus epidermidis infection after spinal-epidural anesthesia, with the aim of raising awareness regarding this serious complication.

摘要

据我们所知，脊髓硬膜外麻醉继发蛛网膜下腔积气和积脓非常罕见，此前尚无相关报道。在此，我们描述了一名老年女性在脊髓硬膜外麻醉后因表皮葡萄球菌感染出现蛛网膜下腔积气以及蛛网膜下腔和脑室内积脓的影像学特征，旨在提高对这一严重并发症的认识。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f4f9/10884425/edff1bbbc810/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f4f9/10884425/220eb181d008/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f4f9/10884425/edff1bbbc810/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f4f9/10884425/220eb181d008/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f4f9/10884425/edff1bbbc810/gr2.jpg

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本文引用的文献

1
Nontraumatic Pneumocephalus after Noninvasive Ventilation.无创通气后非创伤性气颅
Am J Respir Crit Care Med. 2023 Jan 1;207(1):101. doi: 10.1164/rccm.202204-0757IM.
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Pneumocephalus and pneumorrhachis caused by Clostridium perfringens infection.由产气荚膜梭菌感染引起的气颅和气脊膜腔积气。
Int J Infect Dis. 2022 Feb;115:166-167. doi: 10.1016/j.ijid.2021.12.311. Epub 2021 Dec 6.
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Pneumocephalus: a radiological presentation of intracranial hypotension secondary to spinal anaesthesia.气颅：脊髓麻醉继发颅内低压的一种影像学表现。
BMJ Case Rep. 2021 Jan 8;14(1):e239750. doi: 10.1136/bcr-2020-239750.
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Symptomatic Pneumocephalus as a Complication of Lumbar Epidural Anaesthesia.症状性气颅作为腰椎硬膜外麻醉的一种并发症
Eur J Case Rep Intern Med. 2020 Jan 22;7(2):001425. doi: 10.12890/2020_001425. eCollection 2020.
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Pneumocephalus and pneumorachis after blunt chest trauma without spinal fractures: a case report.钝性胸部创伤后无脊柱骨折的气颅和气脊膜腔积气：一例报告
J Med Case Rep. 2019 Oct 25;13(1):317. doi: 10.1186/s13256-019-2208-3.
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Epidemiology of septic meningitis associated with neuraxial anesthesia: a historical review and meta-analysis.与椎管内麻醉相关的化脓性脑膜炎的流行病学：历史回顾和荟萃分析。
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A rare case of pneumocephalus and pneumorrhachis after epidural anesthesia.硬膜外麻醉后发生气颅和气脊的罕见病例。
Acta Anaesthesiol Taiwan. 2015 Mar;53(1):47-9. doi: 10.1016/j.aat.2015.01.002. Epub 2015 Feb 18.